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Gepubliceerd in: Journal of Youth and Adolescence 6/2021

04-05-2021 | Empirical Research

How Early Stressful Life Experiences Combine With Adolescents’ Conjoint Health Risk Trajectories to Influence Cardiometabolic Disease Risk in Young Adulthood

Auteurs: Tae Kyoung Lee, Kandauda A. S. Wickrama, Catherine Walker O’Neal

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 6/2021

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Abstract

Research has primarily focused on additive (unique) associations between early stressful life experiences (specifically, socioeconomic adversity and maltreatment) and young adults’ cardiometabolic disease risk without considering multiplicative (synergistic) influences. Furthermore, research has not fully considered the varying patterns of health risk trajectories (e.g., substance use, obesogenic-related behaviors, depressive symptoms) across adolescence and the transition to young adulthood that may link earlier stressful experiences and later cardiometabolic disease risk. This study examined heterogeneity in conjoint health risk trajectories from adolescence to the transition to young adulthood and their additive and multiplicative (synergistic) influences with early stressful life experiences on cardiometabolic disease risk in young adulthood using data from the National Longitudinal Study of Adolescent to Adult Health (n = 9,421; 55.6% female) over a period of 13 years. Four distinct conjoint health risk trajectories were identified considering trajectories of substance use behaviors, obesogenic-related behaviors, and depressive symptoms: (a) overall high-risk, (b) behavioral risks, (c) psycho-obesogenic risks, and (d) overall low-risk. Socioeconomic adversity and maltreatment were additively and multiplicatively associated with cardiometabolic disease risk in young adulthood. Individuals with overall high-risk conjoint trajectories averaged higher cardiometabolic disease risk in young adulthood when they were exposed to early socioeconomic adversity. Implications for personalized interventions for individuals who have experienced multiple forms of health risks are discussed.
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Metagegevens
Titel
How Early Stressful Life Experiences Combine With Adolescents’ Conjoint Health Risk Trajectories to Influence Cardiometabolic Disease Risk in Young Adulthood
Auteurs
Tae Kyoung Lee
Kandauda A. S. Wickrama
Catherine Walker O’Neal
Publicatiedatum
04-05-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 6/2021
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-021-01440-0